SSM Health Cardinal Glennon Children's Hospital
1465 S Grand Blvd, Saint Louis, MO · SSM Health · · NPI 1508935891
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $46.03 – $46.03 | 1 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $57.69 – $57.69 | 1 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $299.53 – $299.53 | 1 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $867.91 – $867.91 | 1 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $724.75 – $724.75 | 1 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $299.53 – $299.53 | 1 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,083.13 – $1,083.13 | 1 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,291.01 – $1,291.01 | 1 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $748.08 – $748.08 | 1 |
| Brace cust back lso HCPCS L0631 | not published | not published | $748.08 – $748.08 | 1 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $667.52 – $667.52 | 1 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $246.68 – $246.68 | 1 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $64.33 – $64.33 | 1 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,270.38 – $1,270.38 | 1 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $561.33 – $561.33 | 1 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $416.29 – $416.29 | 1 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $90.90 – $90.90 | 1 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $416.29 – $416.29 | 1 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $559.66 – $559.66 | 1 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $68.54 – $68.54 | 1 |
| Brace m arm board HCPCS L3809 | not published | not published | $165.82 – $165.82 | 1 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $867.91 – $867.91 | 1 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $724.75 – $724.75 | 1 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $165.82 – $165.82 | 1 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $133.98 – $133.98 | 1 |
| Brace wrist classic lft sm HCPCS L3908 | $210.48 | $382.70 | $40.79 – $40.79 | 1 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $812.16 – $4,510.00 | 7 |
| Brach/thor cath 1st CPT 36215 | $963.82 | $1,752.40 | $250.79 – $3,868.00 | 4 |
| Brach/thor cath 2nd CPT 36216 | $1,687.40 | $3,068.00 | $291.41 – $3,868.00 | 4 |
| Brach/thor cath 3rd CPT 36217 | $1,124.70 | $2,044.90 | $345.79 – $3,868.00 | 4 |
| Brach/thor cath addl CPT 36218 | $136.56 | $248.30 | $55.72 – $3,868.00 | 4 |
| Brachy source yttrium-90 HCPCS C2616 | $20,322.44 | $36,949.90 | not published | 0 |
| Brachytx isodose complex CPT 77318 | not published | not published | $198.27 – $599.99 | 2 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $146.08 – $444.07 | 2 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $112.10 – $335.49 | 2 |
| Braf gene CPT 81210 | not published | not published | $175.40 – $342.48 | 3 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,480.40 – $4,510.00 | 6 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,291.23 – $4,510.00 | 6 |
| Brain flow imaging only CPT 78610 | $829.95 | $1,509.00 | $162.16 – $880.92 | 3 |
| Brain image < 4 views CPT 78600 | not published | not published | $165.31 – $678.82 | 3 |
| Brain image 4+ views CPT 78605 | not published | not published | $175.46 – $880.92 | 3 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $193.31 – $678.82 | 3 |
| Brain image w/flow 4 + views CPT 78606 | $829.95 | $1,509.00 | $307.11 – $880.92 | 3 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,031.15 | $3,693.00 | $470.53 – $662.62 | 2 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,881.00 | $3,420.00 | $319.28 – $662.62 | 2 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,301.30 | $2,366.00 | $279.05 – $414.23 | 2 |
| Brain MRI (with and without contrast) CPT 70553 | $2,459.60 | $4,472.00 | $256.30 – $662.62 | 2 |
| Brain MRI (with contrast) CPT 70552 | $2,145.00 | $3,900.00 | $224.79 – $662.62 | 2 |
| Brain MRI (without contrast) CPT 70551 | $1,787.50 | $3,250.00 | $151.95 – $414.23 | 2 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $29.50 – $29.50 | 1 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $913.29 | 3 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $1,140.26 | 3 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $94.88 – $732.25 | 3 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $588.38 | 3 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $551.90 | 3 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $361.39 | 3 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $94.88 – $732.25 | 3 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $551.90 | 3 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $179.80 – $858.57 | 3 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,824.88 – $3,561.98 | 3 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $661.71 – $11,867.00 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | not published | not published | $173.43 – $4,510.00 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $1,026.02 | $1,865.50 | $45.77 – $3,868.00 | 6 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $1,546.94 – $6,335.00 | 7 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,854.95 – $4,510.00 | 6 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,629.53 – $4,510.00 | 6 |
| Breast reduction CPT 19318 | not published | not published | $1,139.19 – $5,560.00 | 7 |
| Breath hydrogen test 91065 CPT 91065 | $1,176.89 | $2,139.80 | $70.04 – $540.00 | 2 |
| Breathing response hypoxia CPT 94450 | not published | not published | $46.59 – $46.59 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $171.44 – $171.44 | 1 |
| Breath test analysis c-14 CPT 78268 | $418.00 | $760.00 | $93.50 – $184.41 | 3 |
| Breath tst attain/anal c-14 CPT 78267 | $313.50 | $570.00 | $10.92 – $21.61 | 3 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $1.87 – $479.78 | 3 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.01 – $907,660.05 | 3 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $146.58 – $3,886.00 | 7 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $70.65 – $3,935.00 | 5 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $244.28 – $11,867.00 | 6 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $269.65 – $11,867.00 | 6 |
| Bronchial allergy tests CPT 95070 | not published | not published | $29.78 – $29.78 | 1 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $113.13 – $3,886.00 | 7 |
| Bronchial challenge CPT 94070 | $690.69 | $1,255.80 | $30.48 – $30.48 | 1 |
| Bronchial valve init insert CPT 31647 | not published | not published | $233.98 – $8,785.00 | 6 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $71.27 – $4,510.00 | 6 |
| Bronchial valve remov init CPT 31648 | not published | not published | $212.88 – $8,785.00 | 6 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $232.87 – $3,935.00 | 7 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,364.00 | $2,480.00 | $169.08 – $3,886.00 | 7 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $210.18 – $3,935.00 | 7 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $243.43 – $3,935.00 | 7 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $51.24 – $3,935.00 | 5 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $1,758.90 | $3,198.00 | $198.90 – $3,935.00 | 7 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $66.52 – $3,935.00 | 5 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $214.56 – $3,935.00 | 7 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $266.68 – $3,935.00 | 7 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $270.16 – $3,935.00 | 7 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $178.57 – $3,935.00 | 7 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $197.87 – $3,935.00 | 7 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $223.03 – $4,510.00 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $267.37 – $3,935.00 | 7 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $218.60 – $11,867.00 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $228.86 – $11,867.00 | 6 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.